Description

Certification Name: Certified Health Insurance & Claims Coordinator

Global Occupational Skill Standard – GOSS ID: GOSS/HF/CHICC/V1

Eligibility: Graduation or Equivalent or minimum 2 years of relevant experience (experience-based learners can directly enroll and certify).

Objective: The Certified Health Insurance & Claims Coordinator course is designed to provide participants with the skills and knowledge required to efficiently manage health insurance claims and coordinate healthcare billing processes. The program covers the fundamentals of health insurance policies, patient eligibility verification, medical coding, and claims submission procedures.

Certification: Within 5 days after Completion of Online Assessment.

Get ready to join the Journey to become a GSDCI Certified Professional  – International Certification and Assessment Body.

Steps to become a GSDCI Certified Professional:

Step 1: Select your certification you want to pursue.

Step 2: Click on get certified tab, new pop up window will open.

Step 3: Click on pay certification fee, you will be redirected to billing details page.

Step 4: Fill your details and click on pay certification fee, you will be redirected to payment gateway, pay fee by any available options like Card (Debit/Credit), Wallet, Paytm, Net banking, UPI and Google pay.

Step 5: You will get Login Credentials of Online E-Books and Online assessment link on your email id, within 48 hrs of payment.

Step 6: After completion of online assessment, you can download your Certificate Immediately.

Assessment Modules:

Module 1: Introduction to Health Insurance: Overview of Health Insurance, Types of Health Insurance Plans, Key Terminology in Health Insurance, Role of a Health Insurance Coordinator, Legal and Ethical Considerations, Importance of Insurance in Healthcare

Module 2: Medical Coding and Billing Basics: Introduction to ICD-10 Coding, CPT and HCPCS Codes, Understanding Diagnosis vs Procedure Codes, Coding Guidelines and Conventions, Common Coding Errors, Documentation Requirements for Accurate Billing

Module 3: Claims Processing and Management: Overview of Claims Processing, Insurance Verification and Eligibility, Claim Creation and Submission, Electronic vs Paper Claims, Payment Posting and Reconciliation, Denials and Appeals Handling

Module 4: Healthcare Regulations and Compliance: HIPAA Overview and Patient Privacy, Fraud, Waste, and Abuse in Healthcare, Compliance Programs and Audits, Understanding Payer Policies, Legal Responsibilities of Claims Coordinators, Ethical Practices in Health Insurance

Module 5: Advanced Claims Coordination: Coordination of Benefits (COB), Handling Complex Claims, Managed Care and Network Considerations, Working with Multiple Payers, Claim Follow-Up and Tracking, Reporting and Analysis of Claims Data

Module 6: Professional Skills and Career Development: Effective Communication with Patients and Providers, Time Management and Organizational Skills, Using Practice Management Software, Problem-Solving in Claims Coordination, Continuous Learning and Certification, Career Advancement Strategies

GSDCI Online Assessment Detail:

• Duration- 60 minutes.
• Number of Questions- 30.
• Number of Questions from each module: 5.
• Language: English.
• Exam Type: Multiple Choice Questions.
• Maximum Marks- 100, Passing Marks- 50%.
• There is no negative marking in any module.

Benefits of Certification:

🌍 1. Global Recognition & Credibility – Stand out worldwide with a certification that opens doors across borders. Trusted by employers, respected by institutions, and recognized in over 100 countries.

📜 2. Quality Assurance through ISO Certification – Certified to global ISO standards, our programs deliver excellence, consistency, and a benchmarked learning experience that speaks for itself.

💼 3. Career Advancement & Employability – Enhances your resume and increases chances of promotions or job offers.

🤝 4. Non-Profit Trust Factor – Certifications from non-profit organizations are mission-driven rather than profit-driven.

📚 5. Access to Verified Learning & Resources – Often includes e-books, mock tests, and online support without hidden costs.

🔍 6. Transparency & Online Verification – Certifications come with a unique Enrolment ID for easy online verification by employers and institutions.

⏳ 7. Lifetime or Long-Term Validity – Certifications usually have lifetime validity or long-term recognition, reducing the need for frequent renewals.